| NPI | 1821032681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M NICK Office Manager 814-226-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS005397L) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD035051E) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |